脾劳之证，食不化，心腹痞满，呕吐吞酸，面色痿黄。甚者心腹常痛，大便泄利，手足
逆冷，骨节酸疼，日渐消瘦，由脾胃久积风冷之气所致，亦名冷劳。木香猪肚丸主之。
木香猪肚丸方
木香 附子 郁李仁 干姜 陈皮 麦冬（各一两） 肉豆蔻（一两） 熟艾
鳖甲 柴胡 神曲（各二两） 浓朴（姜水炒，三两） 钟乳粉 桂心（各五钱）
共末，用雄猪肚一具，去脂膜切细，入好米醋三升，煮烂研细入末捣和丸梧子大，空心
《千金》治虚补劳方
羊肚（一具，切） 白术（一升）
上二味，以水二斗，煮取六升，每服二升，日三。
又方
猪肚（一具） 人参（五两） 蜀椒 干姜（各二两半） 葱白（七两） 白粱米（半升）
上六味， 咀，诸药令相得，和米内肚中，缝合勿令泄气，取四斗半水，缓水煮烂，空
腹食之，大佳，兼下少饭。
《济生》白术汤 治脾劳虚寒，呕吐不食，腹痛泄泻，胸满善噫。
人参 白术 草果 肉豆蔻（面裹煨熟） 浓朴 陈皮 木香 麦芽（各一两）
每服四钱，水一盏，姜五片，枣一枚，煎服无时。
风劳之证，肌骨蒸热，寒热往来，痰嗽盗汗，黄瘦毛焦，口臭，或成疳利，由风邪淹滞
经络，瘀郁而然。其病多着于肝，亦名肝劳。
《宝鉴》秦艽鳖甲散
鳖甲（一两，醋炙） 柴胡 地骨皮 秦艽 知母 当归（各半两）
上为粗末，每服半两，水一盏，入乌梅一枚，青蒿五叶，同煎至七分，去滓温服，临卧
空心
，大便硬者服之。大便溏者，半气半血，服逍遥散。《元珠》云∶体虚之人，最易感于邪气
，当先和解，微汗微利之，从其性而治之，次则调之。医者不知邪气加于身而未除，便行补
剂，邪气得补，遂入经络，往往至死，不可不知也。
柴胡饮子（太无）
人参 黄芩 炙草 大黄 芍药 柴胡 当归（各半两）
每服四钱，水姜煎温服。
麦煎散 治少男室女，骨蒸黄瘦，盗汗肌热，口臭，妇人血风攻疰四肢。（方见
《良方》团鱼丸 治骨蒸劳嗽累效。
贝母 前胡 知母 杏仁（各一两） 柴胡（半两）
用团鱼二个，同煮熟，取肉连汁食之。将药焙干为末，再以团鱼骨甲，煮汁一盏，和药
丸梧子大，每服二三十丸。煎黄 六一汤空心送下。病既安，仍服黄 六一汤方调理。
《广济》疗骨蒸肺热，每至日晚，即恶寒壮热，颊色微赤，不能下食，日渐羸瘦方
生地黄（三两，切） 葱白（一把） 香豉（二两） 炙甘草（五钱） 童子 小便（二
上五味，以地黄等，于小便中浸一宿，平晨煎两沸、绞去滓，澄取一升二合，分温二服
，相去如人行七八里，服一剂，瘥止。
《直指》全鳖丸 此与《良方》团鱼丸治同。
知母 贝母 杏仁（浸去皮，各三两） 柴胡（二两） 川芎（一两） 当归 明阿
上粗截，入浓瓷器中，用中等活鳖一个，生宰去头，以鳖肉并血并药，用醇酒五升，同
浸一
药酒汁调米粉为糊，丸桐子大，每七十丸，米饮下。
伤寒余热未尽，或失于调摄，致咳嗽寒热，吐血衄血，缠绵日久，状如劳瘵。此皆元气
邪气留着，例用养气生血药，兼小柴胡、青蒿、鳖甲，或前胡、犀角、石膏等，随证加减，
无有不愈者。切不可纯用补剂，亦不可误认虚损劳怯，轻用杜仲、熟地、山萸等温补之药也
脾劳的证候，表现为饮食不消化，心腹部痞塞胀满，呕吐并伴有吞酸感，面色萎黄。严重的会出现心腹部经常疼痛，大便泄泻，手足逆冷，骨节酸痛，身体日渐消瘦。这是由脾胃长期积聚风冷之气所致，也称为冷劳。治疗以木香猪肚丸为主方。
木香猪肚丸方：
木香、附子、郁李仁、干姜、陈皮、麦冬（各一两），肉豆蔻（一两），熟艾、鳖甲、柴胡、神曲（各二两），浓朴（用姜水炒，三两），钟乳粉、桂心（各五钱）。
将上述药物研成细末，取一只雄猪肚，去除脂膜后切细，放入三升好米醋中，煮烂后研细，加入药末捣和，制成梧桐子大小的丸剂。空腹服用。
《千金方》治疗虚损补益劳伤的方子：
羊肚（一只，切开），白术（一升）。
以上两味药，用水二斗，煮取六升药液，每次服用二升，每日三次。
另一个方子：
猪肚（一只），人参（五两），蜀椒、干姜（各二两半），葱白（七两），白粱米（半升）。
以上六味药，切碎，使诸药协调，与米一起放入猪肚中，缝合不要漏气，取四斗半水，慢火煮烂，空腹食用，效果很好，同时可少量进食米饭。
《济生方》白术汤：治疗脾劳虚寒，呕吐不能进食，腹痛泄泻，胸中胀满且容易嗳气。
人参、白术、草果、肉豆蔻（用面裹煨熟）、浓朴、陈皮、木香、麦芽（各一两）。
每次服用四钱，用水一盏，加生姜五片、大枣一枚，煎服，不拘时间。
风劳的证候，表现为肌骨间蒸热，寒热往来，咳嗽痰多且盗汗，面色黄瘦毛发焦枯，口臭，或者发展成疳积泄利。这是由于风邪滞留经络，瘀滞郁结而形成的。此病多涉及肝脏，也称为肝劳。
《宝鉴》秦艽鳖甲散：
鳖甲（一两，醋炙），柴胡、地骨皮、秦艽、知母、当归（各半两）。
以上药物研为粗末，每次服用半两，用水一盏，加入乌梅一枚、青蒿五叶，同煎至七分，去渣温服，临睡前或空腹服用。大便干燥者适合服用。大便溏薄者，属于气血两虚，应服用逍遥散。《元珠》说：体质虚弱的人，最容易感受邪气，应当先和解，通过微汗或微利的方法，顺应其本性来治疗，然后再调理。医生如果不知道邪气加于身体尚未清除，就使用补剂，邪气得到补益，就会深入经络，往往导致死亡，这一点不可不知。
柴胡饮子（太无方）：
人参、黄芩、炙甘草、大黄、芍药、柴胡、当归（各半两）。
每次服用四钱，用水和生姜煎煮，温服。
麦煎散：治疗少年男女，骨蒸黄瘦，盗汗肌热，口臭，妇人血风攻注四肢。（方剂见《良方》团鱼丸）
团鱼丸：治疗骨蒸劳嗽屡获良效。
贝母、前胡、知母、杏仁（各一两），柴胡（半两）。
用两只团鱼（甲鱼），同煮熟，取肉连汁食用。将药物焙干研成细末，再用团鱼的骨甲煮汁一盏，调和药末制成梧桐子大小的丸剂，每次服用二三十丸。用黄耆六一汤空腹送下。病愈后，仍服用黄耆六一汤方进行调理。
《广济方》治疗骨蒸肺热，每到傍晚，就恶寒壮热，脸颊颜色微红，不能进食，身体日渐消瘦的方子：
生地黄（三两，切片），葱白（一把），香豉（二两），炙甘草（五钱），童子小便（二升）。
以上五味药，将地黄等药在童子小便中浸泡一夜，清晨煎煮两沸，绞去药渣，澄清取一升二合药液，分两次温服。两次服药间隔如人行走七八里的时间，服用一剂，病愈即止。
《直指方》全鳖丸：此方与《良方》团鱼丸治疗相同。
知母、贝母、杏仁（浸去皮，各三两），柴胡（二两），川芎（一两），当归、明阿胶（未列具体剂量，依原文结构隐含或省略，此处按原文提取实体）。
以上药物粗截，放入浓瓷器中，用中等大小的活鳖一只，活宰去头，将鳖肉、血连同药物，用醇酒五升，同浸泡一夜。将药酒汁调米粉为糊，制成桐子大小的丸剂，每次七十丸，米饮送下。
伤寒余热未尽，或者失于调养摄护，导致咳嗽寒热，吐血衄血，缠绵日久，症状如同劳瘵。这都是元气与邪气留着体内，通常使用养气生血的药物，兼用小柴胡汤、青蒿、鳖甲，或者前胡、犀角、石膏等，随证加减，没有不痊愈的。切不可纯用补剂，也不可误认为是虚损劳怯，轻易使用杜仲、熟地、山萸肉等温补的药物。
The syndrome of Spleen Lao (Spleen Deficiency Consumption) manifests as indigestion, epigastric and abdominal fullness and distension, vomiting with acid regurgitation, and a sallow complexion. In severe cases, there is constant pain in the heart and abdomen, loose stools, cold extremities, soreness and pain in the bone joints, and gradual emaciation. This is caused by the long-term accumulation of Wind-Cold Qi in the Spleen and Stomach, and is also known as Cold Lao. The principal formula is Muxiang Zhudu Wan (Musk and Pig Stomach Pill).
Formula for Muxiang Zhudu Wan:
Muxiang (Costus Root), Fuzi (Prepared Aconite Root Lateralis), Yuliren (Dried Seed of Prunus tomentosa), Ganjiang (Dried Ginger), Chenpi (Aged Tangerine Peel), Maidong (Ophiopogon Tuber) (each 1 liang); Roudoukou (Nutmeg) (1 liang); Shuai (Processed Mugwort Leaf), Biejia (Carapax et Plastrum Testudinis or Chelonis Carapax et Plastrum), Chaihu (Bupleurum Root), Shenqu (Massa Medicata Fermentata) (each 2 liang); Nongpo (Magnolia Bark) (stir-fried with ginger water, 3 liang); Zhongru Fen (Stalactitum), Guixin (Cinnamon Twig) (each 5 qian).
Grind all ingredients into fine powder. Take one male pig stomach, remove the fat membrane, cut it finely, place it in 3 sheng of good rice vinegar, boil until soft, grind finely, mix with the powder, knead into pills the size of wutong seeds. Take on an empty stomach.
Prescription from *Qianjin Fang* for treating deficiency and tonifying Lao:
Yangdu (Sheep Stomach) (one piece, sliced), Baizhu (Atractylodes Macrocephala Rhizome) (1 sheng).
Take the above two ingredients, add 2 dou of water, boil to obtain 6 sheng of liquid. Take 2 sheng per dose, three times daily.
Another prescription:
Zhudu (Pig Stomach) (one piece), Ren Shen (Ginseng Radix et Rhizoma) (5 liang), Shujiao (Sichuan Pepper), Ganjiang (Dried Ginger) (each 2.5 liang), Congbai (Scallion White) (7 liang), Bai Liang Mi (White Millet) (0.5 sheng).
Chop the above six ingredients, ensure they are well combined, place them inside the stomach along with the millet, sew tightly to prevent leakage. Add 4.5 dou of water, simmer slowly until soft. Eat on an empty stomach; this is highly effective. It can be accompanied by a small amount of rice.
Baizhu Tang (Atractylodes Decoction) from *Jisheng Fang*: Treats Spleen Lao with deficiency-cold, vomiting, inability to eat, abdominal pain with diarrhea, chest fullness, and frequent belching.
Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodes Macrocephala Rhizome), Caoguo (Black Cardamom Fruit), Roudoukou (Nutmeg) (wrapped in flour and baked until cooked), Nongpo (Magnolia Bark), Chenpi (Aged Tangerine Peel), Muxiang (Costus Root), Maiya (Sprouted Hordeum Vulgare Fructus) (each 1 liang).
Take 4 qian per dose, with 1 zhan of water, 5 slices of ginger, and 1 jujube. Decoct and take at any time.
The syndrome of Wind Lao (Wind Consumption) manifests as steaming heat in muscles and bones, alternating chills and fever, cough with phlegm, night sweats, yellow and thin complexion with brittle hair, bad breath, or progression to infantile malnutrition diarrhea. This arises from Wind pathogen stagnation in the meridians, leading to blood stasis and depression. The disease often affects the Liver and is also known as Liver Lao.
Qinjiao Biejia San (Gentian and Turtle Shell Powder) from *Baojian*:
Biejia (Carapax et Plastrum Testudinis or Chelonis Carapax et Plastrum) (1 liang, stir-fried with vinegar), Chaihu (Bupleurum Root), Digupi (Lycium Cortex), Qinjiao (Gentiana Macrophylla Radix), Zhimu (Anemarrhenae Rhizoma), Danggui (Angelica Sinensis Radix) (each 0.5 liang).
Grind into coarse powder. Take 0.5 liang per dose, with 1 zhan of water, add 1 Chinese plum (Wumei) and 5 leaves of Qinghao (Artemisia Annua Herba). Simmer until reduced to 70%, strain, and take warm before sleep or on an empty stomach. Suitable for those with hard stools. For those with loose stools, indicating Qi and Blood deficiency, use Xiaoyao San (Free and Easy Wanderer Powder). *Yuanzhu* states: Individuals with weak constitutions are most susceptible to pathogenic factors. One should first harmonize the interior, inducing slight sweating or mild purgation, treating according to their nature, and then regulate. If physicians do not realize that pathogens remain in the body and proceed directly to tonification, the pathogens will enter the meridians aided by the tonic, often leading to death. This must be understood.
Chaihu Yinzi (Bupleurum Drink) (from Taiwu):
Ren Shen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix), Zhigancao (Prepared Licorice Root), Dahuang (Rhubarb Radix et Rhizoma), Shaoyao (Peony Root), Chaihu (Bupleurum Root), Danggui (Angelica Sinensis Radix) (each 0.5 liang).
Take 4 qian per dose, decoct with water and ginger, and take warm.
Maijian San (Wheat Decoction Powder): Treats young men and women with bone-steaming, yellow and thin appearance, night sweats, muscular heat, bad breath, and women with Blood-Wind attacking the limbs. (See *Tianyuan Wan* in *Liangfang*).
Tianyuan Wan (Softshell Turtle Pill): Highly effective for bone-steaming consumption cough.
Beimu (Fritillariae Bulbus), Qianhu (Peucedani Radix), Zhimu (Anemarrhenae Rhizoma), Xingren (Prunus Armeniaca Seed) (each 1 liang), Chaihu (Bupleurum Root) (0.5 liang).
Boil two softshell turtles together until cooked. Take the meat and broth. Dry the herbs, grind into powder. Boil the turtle shell and bones in 1 zhan of water. Mix the liquid with the powder to form pills the size of wutong seeds. Take 20-30 pills per dose. Send down with Huangqi Liuyi Tang (Astragalus Six-to-One Decoction) on an empty stomach. After recovery, continue taking Huangqi Liuyi Tang for conditioning.
Prescription from *Guangji Fang* for treating bone-steaming lung heat, where every evening brings aversion to cold and high fever, slightly red cheeks, inability to eat, and gradual emaciation:
Shengdihuang (Rehmanniae Radix) (3 liang, sliced), Congbai (Scallion White) (one handful), Xiangchi (Prepared Soybean Paste) (2 liang), Zhigancao (Prepared Licorice Root) (5 qian), Tongzi Xiaobian (Child's Urine) (2 sheng).
Soak the Shengdihuang and other ingredients in the child's urine overnight. At dawn, boil twice, strain, clarify, and obtain 1.2 sheng of liquid. Divide into two warm doses. Wait the time it takes for a person to walk 7-8 li between doses. Take one course; stop when cured.
Quanbie Wan (Complete Turtle Pill) from *Zhizhi Fang*: Same indications as Tianyuan Wan in *Liangfang*.
Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Xingren (Prunus Armeniaca Seed) (soaked, peeled, each 3 liang), Chaihu (Bupleurum Root) (2 liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (1 liang), Danggui (Angelica Sinensis Radix), Ming E'jiao (Donkey-Hide Gelatin).
Coarsely chop the ingredients, place in a thick porcelain vessel. Take one medium-sized live softshell turtle, slaughter alive, remove the head. Combine turtle meat, blood, and herbs. Soak in 5 sheng of strong wine for one night. Use the medicinal wine juice to mix rice flour into a paste, form pills the size of tung tree seeds. Take 70 pills per dose, with rice drink.
If residual heat from Shanghan (Cold Damage) remains unresolved, or due to improper care, leading to chronic cough, alternating chills and fever, hematemesis, and epistaxis lasting a long time, resembling Lao Zhai (Consumption Tuberculosis). This is due to Yuan Qi (Original Qi) and pathogenic factors lingering in the body. Generally, use herbs that nourish Qi and generate Blood, combined with Xiao Chaihu Tang (Minor Bupleurum Decoction), Qinghao (Artemisia Annua Herba), Biejia (Carapax et Plastrum Testudinis or Chelonis Carapax et Plastrum), or Qianhu (Peucedani Radix), Xijiao (Rhinocerotis Cornu), Shigao (Gypsum Fibrosum), etc., modified according to symptoms. There is no case that does not heal. Do not use purely tonifying agents, nor mistakenly identify it as deficiency damage or consumptive weakness, lightly using warming tonics such as Duzhong (Eucommia Bark), Shudi (Prepared Rehmanniae Radix), or Shanzhuyu (Cornus Officinalis Fruit).